Individual
FELICIA GRAHAM ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3344 SW 51ST TER, OCALA, FL 34474-9484
(352) 299-1961
Mailing address
3344 SW 51ST TER, OCALA, FL 34474-9484
(352) 299-1961
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
19650
FL
405300000X
Prevention Professional
813587742
FL
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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